[Critical reading of reports of educational research in teachers of IMSS. Multicenter study]. / Lectura crítica de informes de investigación educativa en profesores del IMSS. Estudio multicéntrico.

AIM: To determine the effect of an educational strategy promoting participation in the development of critical reading of educational research reports on professors of Educational Research and Teacher Education (CIEFD's). MATERIAL AND METHODS: We performed an intervention study, multicenter professors (medical specialists) who enrolled in the courses: Diploma in teaching methodological level 1 and 2 (n = 46, n = 29, respectively) in the six CIEFD's (D.F. Siglo XXI, DF. La Raza, Nuevo León, Sonora, Puebla and Jalisco), in the period March to August 2007. A tool was built that assessed the variables critical appraisal of educational research reports, the construct validity, content and reliability was assessed by experts in education research. The educational strategy developed in the form of seminars, which were held three times a week in the Certification in teaching methodological level 1 and twice per week in the Certification Level 2 in teaching methodology duration per session: 6 h. The instrument was applied at the beginning and end of the course. RESULTS: In the two Graduates it was observed in the total group, an advance in the three indicators of critical reading, which was expressed with statistically significant differences; in the global score of the Diploma level 1 (final vs. initial measurement) the following mediums were observed: 36-67 (p = 0.0001); in the Diploma level 2, it was observed in its overall rating: 42-78 (p = 0.0001). DISCUSSION: This inquiry from the results observed some of theoretical approaches to mainstreaming participatory. CONCLUSION: An educational strategy promoting participation produced a breakthrough in the three indicators (to interpret, to judge and to formulate proposals) for critical reading of educational research reports.

[Participatory education and the development of critical reading in teachers theoretical texts. Multicenter study]. / Educación participativa y el desarrollo de la lectura crítica de textos teóricos en profesores. Estudio multicéntrico.

AIM: Determine what the relationship between participation in classroom of students attending courses at the Educational Research and Teacher Education (CIEFD's) and the development of proficiency in critical reading of theoretical texts in education. MATERIAL AND METHODS: Intervention study, multicenter students (medical specialist) level Diploma in teaching methodology (DMDN) 1 and 2 (n=46 n=29) of the six CIEFD's (DF Siglo XXI, Mexico City La Raza, Nuevo Leon, Sonora, Puebla and Veracruz), period: March to August 2007 and a Masters in education (n=9, generation 2007-2008). Two instruments were constructed that evaluated the participation variables and critical reading of theoretical texts in education, conceptual validity; content and reliability were assessed by experts in education research. The educational intervention was in the form of seminars (three times a week in DMDN 1 and twice weekly in DMDN 2 and Masters). Participation was assessed halfway through the course and on completion, critical reading at the beginning as well as the end. RESULTS: Statistically significant associations were observed in DMDN 1 (four Centers) and the Masters, but not DMDN 2. DISCUSSION: In this investigation some of the theoretical proposals of the participatory education were recreated, starting from the analysis of our results. CONCLUSION: In some centers and in the masters, strengthening participation in this educational intervention is related to the development of critical reading of theoretical texts in education.

Desarrollo de la aptitud clínica de médicos internos de pregrado en anemias carenciales mediante una estrategia educativa promotora de la participación / Developing undergraduate medical boarding's clinical aptitude in anemic deficiencies with a participation promotive educational strategy

Objective. To compare the profit of a participation promotive educational strategy versus traditional teaching on development of the undergraduate medical boarding's clinical aptitude. Methods. A quasiexperimental design was made. An instrument was built and validated in order to explore clinical aptitude. It contains three actual clinical cases about iron, folie acid or cobalamin deficiency, and a questionnaire with 164 items to explore eight clinical aptitude indicators; experts attending and teaching physicians validated it. A Kuder-Richardson coefficient of 0.80 was gotten when we estimated the internal reliability. The instrument was applied simultaneously to 55 undergraduate medical boarding from two hospitals of the Instituto Mexicano del Seguro Social the starting year of undergraduate boarding (initial measuring) and at finish once again (end measuring). The experimental group (GE, n = 29) was exposed to a participation promotive educational strategy, and control group (GC, n = 26) to a traditional one. Results. The overall scores of initial measuring in the GE and GC were low: 57 y 42 respectively (maximum: 164); at end measuring an increase in overall scores was observed: in the GE 68 (p < 0.02) and GC 47 (NS). Conclusions. The participation pro-motive educational strategy is better than traditional teaching for developing the undergraduate medical boarding's clinical aptitude. It must be considerated to propitiate changes to develop a more reflexive and critical education.

Objetivo. Estimar los alcances de una estrategia educativa promotora de la participación vs. una tradicional (habitual) sobre el desarrollo de la aptitud clínica en médicos internos de pregrado. Material y métodos. Se efectuó un diseño cuasiexperimental. Se construyó un instrumento de medición con tres casos clínicos reales sobre anemias carenciales y 164 ítemes que exploran ocho indicadores de aptitud clínica; validado por ronda de expertos con experiencia docente y en trabajos de investigación publicados; la confiabilidad interna se estimó con la fórmula 21 de Kuder-Richardson, obteniendo un coeficiente de 0.80. El instrumento se aplicó a dos grupos de médicos internos de pregrado correspondientes a dos hospitales del IMSS; la medición inicial se aplicó antes de iniciar el internado de pregrado y la medición final al término del mismo. El grupo experimental (GE, n = 29) fue intervenido con la estrategia educativa promotora de la participación y el grupo de control (GC, n = 26) con la estrategia tradicional. Resultados. Las calificaciones globales (medianas) obtenidas en la medición inicial en el GE y GC, fueron bajas (57 y 42, respectivamente, de una calificación teórica máxima de 164); en la medición final se observó un incremento de la calificación en el GE a 68 (p < 0.02) y en el GC a 47 (NS). Conclusiones. La estrategia educativa promotora de la participación mostró algunos efectos superiores respecto a la tradicional en el desarrollo de la aptitud clínica en médicos internos de pregrado. Esto se debe tomar en cuenta para propiciar cambios hacia el desarrollo de una educación más reflexiva y crítica.

[Developing undergraduate medical boarding's clinical aptitude in anemic deficiencies with a participation promotive educational strategy]. / Desarrollo de la aptitud clínica de medicos internos de pregrado en anemias carenciales mediante una estrategia educativa promotora de la participación.

OBJECTIVE: To compare the profit of a participation promotive educational strategy versus traditional teaching on development of the undergraduate medical boarding's clinical aptitude. METHODS: A quasiexperimental design was made. An instrument was built and validated in order to explore clinical aptitude. It contains three actual clinical cases about iron, folic acid or cobalamin deficiency, and a questionnaire with 164 items to explore eight clinical aptitude indicators; experts attending and teaching physicians validated it. A Kuder-Richardson coefficient of 0.80 was gotten when we estimated the internal reliability. The instrument was applied simultaneously to 55 undergraduate medical boarding from two hospitals of the Instituto Mexicano del Seguro Social the starting year of undergraduate boarding (initial measuring) and at finish once again (end measuring). The experimental group (GE, n = 29) was exposed to a participation promotive educational strategy, and control group (GC, n = 26) to a traditional one. RESULTS: The overall scores of initial measuring in the GE and GC were low: 57 y 42 respectively (maximum: 164); at end measuring an increase in overall scores was observed: in the GE 68 (p < 0.02) and GC 47 (NS). CONCLUSIONS: The participation promotive educational strategy is better than traditional teaching for developing the undergraduate medical boarding's clinical aptitude. It must be considerated to propitiate changes to develop a more reflexive and critical education.